Individual
GARY P LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
2253 BIRCH HOLLOW DR, WINTERVILLE, NC 28590-1137
(252) 367-9081
Mailing address
2402 CAMDEN ST SW, WILSON, NC 27893-8608
(252) 367-9081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29798
NC
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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